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Michigan rates for HCPCS 27095

Injection procedure for hip arthrography; with anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.04 / $2,056.00 / $6,409.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.48 / $211.74 / $401.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,033.96 / $2,791.95 / $6,716.20
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,163.21 / $1,605.93 / $2,177.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $91.13 / $202.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.81 / $138.81 / $138.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.80 / $245.38 / $617.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $2,056.00 / $6,409.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.48 / $236.57 / $421.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.17 / $297.04 / $418.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,438.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.72 / $303.30 / $518.35